| NPI | 1609264142 |
|---|---|
| Other Name | ANGELIC VISITS SENIOR SUPPORT AGENCY |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY SPILLER-JOHNSON Owner/Administrator 901-281-8292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN 0000000565) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 0000000565) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: TN 0000000565) | |
| 311Z00000X Custodial Care Facility (Licence: TN 0000000565) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN 0000000565) | |
| 385H00000X Respite Care (Licence: TN 0000000565) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |